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  3. Effects of EDP-420 on penicillin-resistant and quinolone- and penicillin-resistant pneumococci in the rabbit meningitis model

Effects of EDP-420 on penicillin-resistant and quinolone- and penicillin-resistant pneumococci in the rabbit meningitis model

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DOI
10.7892/boris.28062
Publisher DOI
10.1093/jac/dkm505
PubMed ID
18222952
Abstract
OBJECTIVES: To test the efficacy of EDP-420, a new ketolide, in experimental pneumococcal meningitis and to determine its penetration into the CSF. METHODS: The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resistant mutant. EDP-420 was also tested against both strains in time-killing assays over 8 h in vitro. RESULTS: In experimental meningitis, EDP-420 produced a bactericidal activity comparable to the standard regimen based on a combination of vancomycin with ceftriaxone against a penicillin-resistant Streptococcus pneumoniae and a penicillin- and quinolone-resistant S. pneumoniae isolate. The penetration of EDP-420 into inflamed meninges was 38% after an i.v. injection of 10 mg/kg. The bactericidal activity of EDP-420 was also confirmed in in vitro time-killing assays. CONCLUSIONS: EDP-420 is an efficacious alternative treatment in pneumococcal meningitis, especially when resistant strains are suspected.
Date Issued
2008
Publication Type
Article
Language(s)
en
Author(s)
Stucki, Armin Niklaus  
Psychiatrische Universitätspoliklinik  
Gerber, Peter  
Universitätsklinik für Pneumologie  
Acosta, Fernando
Cottagnoud, Marianne
Cottagnoud, Philippe
Jiang, Lijiang
Nguyen, Phong
Wachtel, Derek
Wang, Guoqiang
Phan, Ly T
Additional Credits
Universitätsklinik für Pneumologie  
Psychiatrische Universitätspoliklinik  
Journal
Journal of antimicrobial chemotherapy
Publisher
Oxford University Press
ISSN
0305-7453
ISBN
18222952
Access(Rights)
open.access
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